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GLENWOOD HOUSE
NPI 1093110066
Intermediate Care Facility, Intellectual Disabilities in Streator, IL

Active since November 03, 2014
600 WEST 12TH STREET, STREATOR, IL 61364(815) 673-1182(815) 673-3231 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenwood House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENWOOD HOUSE (NPI 1093110066) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Streator, Illinois and active in the NPI registry since November 2014. The organization lists Beth Ann Mangold, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093110066
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameOTTAWA FRIENDSHIP HOUSE WORK ACTIVITY CENTER, INC
Location Address600 WEST 12TH STREETStreator, IL 61364
Mailing Address1718 N 2525th RdOttawa, IL 61350-9329 · (815) 434-0737 · Fax (815) 434-0493
Phone(815) 673-1182
Fax(815) 673-3231
Organization SubpartNo
Authorized OfficialBeth Ann MangoldExecutive Director · (815) 434-0737
Enumeration DateNovember 3, 2014
✔ NPI 1093110066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
600 WEST 12TH STREET, Streator, IL 61364
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Other Names 1

Doing Business AsGlenwood House

Other Identifiers 1

Medicaid14G282IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ottawa Friendship House Work Activity Center, Inc's NPI number?

The NPI number for Ottawa Friendship House Work Activity Center, Inc is 1093110066. It was assigned to this organization in the NPPES registry on November 3, 2014. The provider is doing business as Glenwood House.

Where is Ottawa Friendship House Work Activity Center, Inc located?

Ottawa Friendship House Work Activity Center, Inc is located at 600 West 12th Street, Streator, IL 61364. The listed phone number is (815) 673-1182.

What is Ottawa Friendship House Work Activity Center, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Ottawa Friendship House Work Activity Center, Inc was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.